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Predictors for Augmentative and Alternative Communication Clinical Service Provision: Closing the Gap.

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Clinical practicum and continuing education are key for speech-language pathologists using augmentative and alternative communication (AAC). High-quality professional development bridges the gap between AAC knowledge and practice.

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Area of Science:

  • Speech-Language Pathology
  • Augmentative and Alternative Communication (AAC)
  • Clinical Practice

Background:

  • The human right to communicate is central to speech-language pathologist (SLP) services.
  • Augmentative and Alternative Communication (AAC) modalities offer vital communication support.
  • Translating AAC knowledge into clinical practice remains a significant challenge for SLPs.

Purpose of the Study:

  • To investigate factors influencing the provision of AAC clinical services.
  • To understand the importance of variables impacting AAC service delivery by SLPs.

Main Methods:

  • Survey data from 530 SLPs in the United States on AAC practices, barriers, and professional development.
  • Hierarchical multiple regression to analyze knowledge and AAC use.
  • Binomial logistic regression to predict barriers and learning preferences.

Main Results:

  • Clinical practicum experiences significantly impact SLPs' knowledge and barriers in AAC practice.
  • Continuing education (CE) in AAC is the primary driver for AAC service provision.
  • Barriers to AAC provision are linked to clinical practicum, patient load, and geographic region.

Conclusions:

  • Hands-on clinical practicum is crucial for overcoming AAC service barriers and fostering collaboration.
  • Evidence-based professional development effectively translates AAC knowledge into clinical practice.
  • High-quality professional development is essential for addressing the knowledge-practice gap in AAC.